Welcome to Education and Learning

Section A - Personal details of child

Name of Child (required)

Address (required)
Insert address

Date of Birth
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st   January February March April May June July August September October November December   1992 1993 1994 1995

School (required)

Section B - To be completed by proposed employer

Employer's Name (required)

Address (required)
Insert address

Nature of Employment (required)
Insert employment nature

Place of Employement (required)
Insert employment place

Time of employment

Number of hours worked before school on school days (required)

Number of hours worked after school on school days (required)

Number of hours worked on Saturdays/during school holidays (required)

Number of hours worked on Sundays (required)